Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,466.84 / $8,511.38	Facility		$1,148.15	$4,466.84	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,691.53 / $5,128.61	Professional		$2,238.72	$2,691.53	$5,128.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $29,512.09 / $56,234.13	Facility		$10,964.78	$29,512.09	$56,234.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,715.35 / $4,570.88	Professional		$3,090.30	$3,715.35	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $588.84	Facility		$398.11	$398.11	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,311.31 / $5,623.41	Professional		$2,089.30	$3,311.31	$5,623.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $11,481.54	Professional		$2,630.27	$4,786.30	$11,481.54
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $3,630.78	Professional		$2,818.38	$3,235.94	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $3,548.13	Professional		$32.36	$33.11	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,818.38 / $7,413.10	Facility		$575.44	$2,818.38	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $5,248.07	Professional		$2,344.23	$3,019.95	$5,248.07